05D2057679 CLIA NUMBER - Mark B. Braunstein Md Inc

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Laboratory Demographics

CLIA Number: 05D2057679

Facility Name: Mark B. Braunstein Md Inc

Facility Address:
5000 Van Nuys Blvd Ste 200
Sherman Oaks, CA
ZIP 91403
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Facility Phone Number: (818) 784-5300

Facility Type: PHYSICIAN OFFICE

Certificate Type: Waiver

CLIA Record

Field Name	Field Value
CLIA Number	05D2057679
LAB Type	PHYSICIAN OFFICE
Facility Name	Mark B. Braunstein Md Inc
Street	5000 Van Nuys Blvd Ste 200
City	Sherman Oaks
State	CA
ZIP	91403
Phone	8187845300

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This page was last updated on: 12/21/2017